NHC Healthcare, Pulaski

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, Pulaski, in the surveyor’s own words.

• Actual harm, isolatedF656Oct 19, 2022

  Based on facility policy review, facility documentation review, medical record review, hospital record review, and interviews, the facility failed to implement care plan interventions for 3 of 12 sampled residents (Resident #30, Resident #50, and Resident #75) reviewed for falls with injury which resulted in actual harm. Resident #30 had a laceration, bruising and bump to the head that required one staple. Resident #50 had a contusion to right hip and shoulder. Resident #75 had a left forehead laceration, approximately 5 mm [millimeter] requiring steri-strips with an acute traumatic subdural hematoma). […]

• Actual harm, isolatedF689Oct 19, 2022

  Based on facility policy review, facility documentation review, medical record review, and interviews, the facility failed to protect 3 of 12 sampled residents (Resident #30, Resident #50, and Resident #75) reviewed related to falls with injury which resulted in actual harm (Resident #30 had a laceration, bruising and bump to the head that required one staple. Resident #50 had a contusion to right hip and shoulder. Resident #75 had a left forehead laceration, approximately 5 mm [millimeter] requiring steri-strips with an acute traumatic subdural hematoma). The Findings include: Review of the facility policy titled, Incident and Accident Process revised 8/13/2013 revealed, .examples of incidents/accidents are: Falls, Found on floor . […]

• No harm, potential for more than minimal, widespreadF812Oct 19, 2022

  Based on observation and interview the facility failed to maintain dietary equipment in a sanitary manner for 1 of 3 observations in the dietary department. The findings include: Observation and interview in the dietary department on 10/17/2022 at 10:25 AM, with the Certified Dietary Manager (CDM), revealed 2 areas of pink debris on the right and left edge of the vertical plastic covering in the ice machine. Further observation revealed ice was touching the vertical plastic covering. The CDM confirmed the 2 areas of pink debris on the vertical plastic covering in the ice machine.

• No harm, potential for more than minimal, patternF880Oct 19, 2022

  Based on facility policy review, medical record review, observation, and interview the facility failed to prevent the spread of infection for 3 of 21 residents (Resident #27, Resident #53, and Resident #58) related to proper storage/sanitation of nebulizer equipment and failed to maintain dietary equipment in a sanitary manner for 1 of 3 observations in the dietary department related to pink debris in the ice machine where ice was kept. The findings include: Review of the facility's policy titled, ORAL INHALATION ADMINISTRATION, dated 1/1/2019 revealed, .When equipment is completely dry, store in a plastic bag with the resident's name and the date on it . […]

• No harm, potential for more than minimal, isolatedF657Oct 19, 2022

  Based on facility policy review, medical record review, and interview, the facility failed to revise a care plan for 1 of 37 sampled residents (Resident #7) reviewed for weight loss. The Findings include: Review of the facility's undated policy titled, Nursing Services, revealed, .The patient care plan is developed to address the immediate need of the patient .the center will include the attending physician in the development of the patient's plan of care by incorporating the physician's plan of care [orders] into the care plan .planning is based on identified needs/problems .and is made available for use by all patient care personnel . […]